Large capillary hemangioma of the temporal bone with a dural tail sign: A case report
2014
The present study reports a rare case of large
capillary hemangiomaof the
temporal bonewith a dural tail sign. A 57-year-old female presented with pulsatile
tinnitusand episodic vertigo associated with a ten-year history of an intermittent faint headache. Magnetic resonance imaging revealed a mass in the right petrous bone, which was hypointense on T1-weighted images and heterogeneously
hyperintenseon T2-weighted images, and showed a dural tail sign following gadolinium administration. Pre-operatively, this tumor was believed to be a meningioma. During surgery, the vascular tumor was removed by a modified
pterionalapproach. A histopathological examination indicated that the tumor was a
capillary hemangioma. Although intraosseous
capillary hemangiomasare rare, they most frequently affect the
temporal bone.
Hemangiomasof the
temporal bonemay mimic other more common basal tumors. The diagnosis is most often made during surgical resection. The dural tail sign is not specific for meningioma, as it also occurs in other intracranial or extracranial tumors. The treatment of intratemporal
hemangiomasis complete surgical excision, with radiotherapy used for unresectable lesions. To the best of our knowledge, the present study is the fourth case of intraosseous intracranial
capillary hemangioma, but the largest intratemporal
hemangiomato be reported in the literature to date.
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